脑瘫患者内翻旋转截骨术后髋臼与股骨的重塑：年龄及粗大运动功能分级水平的影响

Acetabular and femoral remodeling after varus derotational osteotomy in cerebral palsy: the effect of age and Gross Motor Function Classification Level.

作者信息

Shore Benjamin J, Powell Dustin, Miller Patricia E, Matheney Travis H, Snyder Brian D

机构信息

Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

出版信息

J Pediatr Orthop B. 2016 Jul;25(4):322-30. doi: 10.1097/BPB.0000000000000322.

DOI:10.1097/BPB.0000000000000322

PMID:27111554

Abstract

UNLABELLED

This study investigated the degree of acetabular and femoral remodeling after isolated varus derotation osteotomy (VDRO) in children with cerebral palsy. This retrospective review investigated 56 children (103 hips) who underwent VDROs for spastic hip displacement between 1994 and 2007. The average age of the patients at surgery was 7.7 years and the follow-up duration was 7.8 years (range 5-11 years). The acetabular index showed a significant linear decrease (P<0.001), with children of less than 6 years showing the greatest correction (P<0.001). VDRO without pelvic osteotomy does result in a mild improvement in acetabular dysplasia over time, with greater rates of correction found in children of less than 6 years old.

LEVEL OF EVIDENCE

Therapeutic Study - Level IV.

摘要

未标注

本研究调查了脑瘫患儿单纯内翻旋转截骨术（VDRO）后髋臼和股骨的重塑程度。这项回顾性研究调查了1994年至2007年间因痉挛性髋关节脱位接受VDRO手术的56名儿童（103个髋关节）。患者手术时的平均年龄为7.7岁，随访时间为7.8年（范围5 - 11年）。髋臼指数呈显著线性下降（P<0.001），6岁以下儿童的矫正效果最佳（P<0.001）。不进行骨盆截骨的VDRO随着时间推移确实会使髋臼发育不良有轻度改善，6岁以下儿童的矫正率更高。